Beena V Simon
Registered Nurse, Psych/Mental Health, Adult in Snellville, GA. Individual provider (NPI-1).
NPI number1215093414
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1215093414
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Beena V Simon
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 29, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WP0809X | Registered Nurse, Psych/Mental Health, Adult | R103963 | GA | Yes |
Practice location
3005 Lenora Church RdSnellville, GA 30078-3688
Phone 770-979-9157
Mailing address
2294 Stratford LnSnellville, GA 30078-3888
Phone 770-979-8910
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